The main difference is whether it’s causing a vision problem or not. Blepharoplasty refers to the removal of excess of eyelid skin. It can be done on the upper lid or on the lower lid.

A typical scenario for an insurance-covered procedure or a medically necessary procedure is that a patient will complain of heaviness on the eyelid or obstruction of vision because of the eyelid drooping down or skin changes on the upper eyelid. Testing is usually done in the office to confirm a vision obstruction issues, and then photographs and the testing is all submitted to the insurance company to get approval for the surgery. In contrast, cosmetic patients usually complain of wrinkling on the eyelids or looking tired or having bags or wrinkly lower eyelids.

The procedure is done the same, whether it’s cosmetic or medically necessary. It takes about 30 minutes and is done in our Littleton office, conveniently located near historic downtown Littleton.

I hope this brings some clarity to the issue. If there are any further questions, please feel free to contact us.